Individual
JAMIE MARIE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
4338 NE 17TH AVE, APT. A, PORTLAND, OR 97211-5184
(503) 442-8351
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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